Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $9,859.00 / $10,635.00	Facility		$100.00	$9,859.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,592.60 / $2,592.60 / $10,635.00	Professional		$2,592.60	$2,592.60	$10,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,334.70 / $11,483.00 / $21,862.00	Facility		$10,334.70	$11,483.00	$21,862.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,285.02 / $6,225.50 / $9,188.74	Professional		$4,285.02	$6,225.50	$9,188.74
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $3,858.53 / $7,654.55 / $12,710.38	Professional		$3,858.53	$7,654.55	$12,710.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,738.81 / $4,867.59 / $12,080.65	Professional		$2,738.81	$4,867.59	$12,080.65
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $2,758.27 / $3,034.10 / $3,861.58	Professional		$2,758.27	$3,034.10	$3,861.58